| NPI | 1346594405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY BASSEY EDUKERE President / Executive Director 909-418-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2012-10-28 |